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Individual

SHILLA POKUAA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PMHNP-BC

Contact information

Practice address
125 S PHILADELPHIA BLVD, ABERDEEN, MD 21001-3205
(443) 692-2013
(508) 866-5102
Mailing address
125 S PHILADELPHIA BLVD, ABERDEEN, MD 21001-3205
(443) 692-2013
(508) 866-5102

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
R205295
MD
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
R205295
MD

Other

Enumeration date
01/24/2018
Last updated
05/07/2026
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